THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rodwelch@pacbell.net


S U M M A R Y


DIARY: August 25, 2005 03:00 PM Thursday; Rod Welch

Called Kaiser to order patient records on Millie for 2nd opinion.

1...Summary/Objective
2...Medical Records Ordered for 2nd Opinion Doctor Grissom
3...Medical Records Ordered for 2nd Opinion Doctor Bailey


..............
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CONTACTS 

SUBJECTS
2nd Opinion UCSF Letter Requests Criteria for Surgery Mastectomy IBC
2nd Opinion #2 UCSF Letter Requests Criteria for Surgery Mastectomy

0804 -
0804 -    ..
0805 - Summary/Objective
0806 -
080601 - Follow up ref SDS 4 0000.
080602 -
080603 -
080604 -
080606 -  ..
0807 -
0808 -
0809 - Progress
0810 -
081001 - Talked to Advice Nurse in Oncology, Robin.
081002 -
081003 - Robin said that Millie can go to the Business Office tomorrow and
081004 - simply sign a request, which authorizes Kaiser to distribute patient
081005 - documents; although Kaiser will not make the actual distribution.
081007 -  ..
081008 - Robin feels that doctors may want to see pathology slides from
081009 - Millie's original surgery.  This aligns with work on 041014 to
081010 - assemble medical records for the 1st 2nd opinion. ref SDS 1 RR3O
081012 -  ..
081013 - Call Pathology and order the pathology slides.
081014 -
081015 -            295 4340
081016 -
081017 -
081018 -
081019 -
081020 -
0811 -

SUBJECTS
2nd Opinion #2 Surgical Oncologist 2nd Referral by UCSF on Criteria
Medical Records Transfer for 2nd Opinion #2 Notify Doctor Referral #

1404 -
1405 - 1245
140601 -  ..
140602 - Medical Records Ordered for 2nd Opinion Doctor Grissom
140603 -
140604 - Follow up ref SDS 3 PR4R.
140605 -
140606 - Submitted ref DIT 1 0001 to Mary saying...
140607 -
140608 -    1.  Millie will have to request documents from Kaiser.  We will do
140609 -        this tomorrow. ref DIT 1 0001
140611 -         ..
140612 -    2.  We understand you want, in addition to  patient history with
140613 -        links into original sources, ref DIT 1 B66F, already submitted,
140614 -        and available in the record for 050812. ref SDS 2 6L4M
140615 -
140616 -            [On 050826 visited Kaiser and ordered medical records for
140617 -            2nd opinion. ref SDS 5 H46J
140619 -         ..
140620 -    3.  Note, we added a summary that makes navigation online easier
140621 -        for finding major milestones, e.g., diagnosis, treatments,
140622 -        tests, etc. ref DIT 1 O86N
140624 -         ..
140625 -    4.  One doctor has asked for patient history to be printed, so we
140626 -        have done this.  Printed documents, however, do not provide
140627 -        instant access to original sources online.  The total length is
140628 -        34 pages, which can be scrolled through and searched instantly
140629 -        online, but takes a lot of time to leaf through printed pages.
140630 -        ref DIT 1 N87L
140632 -         ..
140633 -    5.  Based on our previous discussions, we plan to supplement
140634 -        patient history online with printed papers from Kaiser
140635 -        reporting image testing for CT, PET and biopsies. ref DIT 1
140636 -        V88I
140638 -         ..
140639 -    6.  Please advise if the doctor also wants the 40 or so CT scan
140640 -        films, and the two PET scan films.  We assume the several
140641 -        hundred pathology reports on blood tests (Mil is tested once a
140642 -        week) are not needed, but please confirm.  If the doctor wants
140643 -        to see actual films, possibly the last 5 or 10 films will be
140644 -        sufficient. ref DIT 1 898N
140646 -         ..
140647 -    7.  We will submit these materials prior to meeting on 050912, so
140648 -        that the doctor can make a review to prepare for the meeting,
140649 -        if time is available. ref DIT 1 J99K
140650 -
140651 -
140652 -
140653 -
140654 -
140655 -
1407 -

SUBJECTS
2nd Opinion #2 Surgical Oncologist 3rd Referral by UCSF on Criteria
Medical Records Transfer for 2nd Opinion #2 Notify Doctor Referral #

2004 -
2005 - 1441
200601 -  ..
200602 - Medical Records Ordered for 2nd Opinion Doctor Bailey
200603 -
200604 - Follow up ref SDS 4 AI8N.
200605 -
200606 - Submitted ref DIT 2 0001 to Roberta saying...
200607 -
200608 -    1.  I know you are working on setting a date for the doctor to
200609 -        examine Millie. ref DIT 2 0001
200611 -  ..
200612 - This confirms understandings from telecon with Roberta yesterday, on
200613 - 050824. ref SDS 4 JF4I
200614 -
200615 -            [On 050829 Roberta responded setting meeting with Millie
200616 -            and the doctor for 050908. ref SDS 6 EO6K
200618 -  ..
200619 - Letter to Roberta continues...
200620 -
200621 -    2.  Millie will have to request documents from Kaiser tomorrow
200622 -        because she is leaving for a much needed vacation on Sunday.
200623 -        ref DIT 2 AL5O
200625 -         ..
200626 -    3.  We understand the doctor wants additional documents,
200627 -        ref DIT 2, ML6I, to supplement patient history previously
200628 -        submitted on 050823, ref SDS 3 PS3T, and available in the
200629 -        record for 050812. ref SDS 2 6L4M
200630 -
200631 -            [On 050826 visited Kaiser and ordered medical records for
200632 -            2nd opinion. ref SDS 5 H46J
200634 -         ..
200635 -    4.  Note, we added a summary that makes navigation online easier
200636 -        for finding major milestones, e.g., diagnosis, treatments,
200637 -        tests, etc. ref DIT 2 ZM7F
200639 -         ..
200640 -    5.  One doctor has asked for patient history to be printed, so we
200641 -        have done this.  Printed documents do not provide instant
200642 -        access to original sources online.  The total length is 34
200643 -        pages, which can be scrolled through and searched instantly
200644 -        online, but takes a lot of time to leaf through printed pages.
200645 -        ref DIT 2 IN7N
200647 -         ..
200648 -    6.  Based on our previous discussions, we plan to supplement
200649 -        patient history online with printed papers from Kaiser
200650 -        reporting image testing for CT, PET and biopsies. ref DIT 2
200651 -        WN8K
200653 -         ..
200654 -    7.  Please advise if the doctor also wants the 40 or so CT scan
200655 -        films, and the two PET scan films.  We assume the several
200656 -        hundred pathology reports on blood tests (Mil is tested once a
200657 -        week) are not needed, but please confirm.  If the doctor wants
200658 -        to see actual films, possibly the last 5 or 10 films will be
200659 -        sufficient.  Just let us know. ref DIT 2 5O9F
200660 -
200661 -
200662 -
200663 -
200664 -
200665 -
200666 -
200667 -
200668 -
200669 -
200670 -
200671 -
2007 -